The rationale for bladder washouts in children with neurogenic bladder

Author:

Singh Gopal‐Krsna1ORCID,Deshpande Aniruddh V2345,Schlegel Gemma5,Starkey Malcolm Ronald5,Taghavi Kiarash16ORCID

Affiliation:

1. Department of Paediatrics, School of Clinical Sciences at Monash Health, Faculty of Medicine, Nursing and Health Sciences Monash University Melbourne Victoria Australia

2. Department of Urology Children's Hospital at Westmead Westmead New South Wales Australia

3. Center for Kidney Research Children's Hospital at Westmead Westmead New South Wales Australia

4. School of Public Health Westmead New South Wales Australia

5. Bladder and Kidney Health Discovery Program, Department of Immunology, School of Translational Medicine Monash University Melbourne Victoria Australia

6. Department of Paediatric Urology Monash Children's Hospital, Monash Health Melbourne Victoria Australia

Abstract

AbstractChildren with a neurogenic bladder are at risk of developing recurrent urinary tract infections and long‐term kidney failure. Due to an altered lower urinary tract, children may be overtreated for simple bacteriuria or undertreated for a potentially severe urinary tract infection. This group of patients represent high users of healthcare, and are at risk of colonization and development of antibiotic resistance. Bladder washouts with non‐antibiotic electrochemically activated solutions are a potential new prophylactic option for patients with bladder dysfunction when clean intermittent catheterization has resulted in chronic bacteriuria.

Publisher

Wiley

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